Zane Robert Setaputri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022267 Issued in MI

Practice address

3397 Camrose Dr
Hudsonville, MI 49426-8821

Phone

(313) 574-4833

NPI assigned

May 30, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1346778776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 CAMROSE DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268821",
            "telephone_number": "313-574-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 CAMROSE DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268821",
            "telephone_number": "313-574-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETAPUTRI",
        "first_name": "ZANE",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Raymond Schuur, DDS
• Danelle Kay Scott, LPC
• Second Story Counseling II LLC
• Jamie Lynn Seppamaki, PT, DPT
• Stephanie Andrea Setaputri, DMD
• Ryan Sheeran
• Sheldon Meadows Assisted Living Center
• Cameron Daniel Shoemaker, DDS
• Shoreline Orthopaedic & Sports Medicine Clinic P L C
• Megan Sievers

• General Practice Dentistry in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.